Individual
DR. ELLEN RUTH SHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
802 W PARK AVE, SUITE 213, OCEAN, NJ 07712-8527
(732) 695-2555
(732) 695-2552
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA05945500
NJ
207K00000X
Allergy & Immunology Physician
MD59455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036075ZKRP
MEDICARE PTAN
NJ
01
—
036075ZVF5
MEDICARE PTAN
NJ
05
—
6088902
—
NJ
Enumeration date
12/04/2005
Last updated
10/30/2023
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